# JAECHELL'S ADULT FAMILY CARE HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083896369
- **Authorized official:** MS. JACQUELINE MARIE GUISHARD (OWNER/PROVIDER)
- **Authorized official phone:** (561) 687-8828

## Contact information

- **Practice address:** 608 S LOIS CT, WEST PALM BEACH, FL 33413-3459
- **Practice address phone:** (561) 687-8828
- **Practice address fax:** (561) 687-8828
- **Mailing address:** 608 S LOIS CT, WEST PALM BEACH, FL 33413-3459
- **Mailing address phone:** (561) 687-8828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6905994 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007
